Active NPI
Lisa Marie Tobias, RN
- Adult Psychiatric/Mental Health Registered Nurse
- Allegan, MI
National Provider Identifier
1861143513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 4704280069
- Practice address
- 3285 122ND Ave
Allegan, MI 49010-9511 - Phone
- (269) 673-5854
- NPI assigned
- Jan 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 4704280069 | MI | Primary |
Addresses
Primary practice location
3285 122ND Ave
Allegan, MI 49010-9511
Mailing address
12793 S M 43 Hwy
Delton, MI 49046-9427
Phone (269) 910-3707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704280069 | MI | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1861143513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12793 S M 43 HWY",
"city": "DELTON",
"state": "MI",
"postal_code": "490469427",
"telephone_number": "269-910-3707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3285 122ND AVE",
"city": "ALLEGAN",
"state": "MI",
"postal_code": "490109511",
"telephone_number": "269-673-5854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBIAS",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-14",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "MI",
"license": "4704280069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allegan, MI
- The Next Step Psychological Services LLC
- The Renewed Hope (Renewed Hope Health Clinic)
- Nancy L Thibos, RN
- Kimberly Thomas, LMSW
- Jamie Jeannette Thorpe, FNP-C
- Lauren Todaro, LMSW
- Dalibor Tomljenovic, RN
- Richard Marc Tooker, MD, MPH
- Elizabeth Jean Marie Totten, M.A. LLP, CAADC
- Kara Jean-Marie Trainor, CPRC, CPSS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.